Active NPI
Zipora Herzberg, PSY.D.
- Clinical Psychologist
- Lawrence, NY
National Provider Identifier
1477533420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8589
- Practice address
- 30 Westover PL
Lawrence, NY 11559-1730 - Phone
- (516) 239-6770
- Fax
- (516) 239-6770
- NPI assigned
- Jan 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 8589 | NY | |
| Psychologist | 103T00000X | 8589 | NY | |
| Adult Development & Aging Psychologist | 103TA0700X | 8589 | NY | |
| Clinical Psychologist | 103TC0700X | 8589 | NY | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 8589 | NY | |
| Family Psychologist | 103TF0000X | 8589 | NY | |
| Forensic Psychologist | 103TF0200X | 8589 | NY | |
| Health Service Psychologist | 103TH0100X | 8589 | NY | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 8589 | NY | |
| Psychologist | 103T00000X | 85889 | NY | |
| Rehabilitation Psychologist | 103TR0400X | 8589 | NY | |
| School Psychologist | 103TS0200X | 8589 | NY |
Addresses
Primary practice location
30 Westover PL
Lawrence, NY 11559-1730
Mailing address
30 Westover PL
Lawrence, NY 11559-1730
Phone (516) 239-6770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01584803 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050126000074 | NY | Practitioner - Clinical Psychologist | 4789634981 | Practice locations: Lawrence, NY; Far Rockaway, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
30 Westover PL
Lawrence, NY 11559-1730
Phone (516) 239-6770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85889 | NY | MD | Psychologist |
| 8589 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1477533420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 WESTOVER PL",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115591730",
"telephone_number": "516-239-6770",
"fax_number": "516-239-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 WESTOVER PL",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115591730",
"telephone_number": "516-239-6770",
"fax_number": "516-239-6770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERZBERG",
"first_name": "ZIPORA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "8589",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "8589",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "NY",
"license": "8589",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "8589",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "8589",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NY",
"license": "8589",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "NY",
"license": "8589",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "NY",
"license": "8589",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NY",
"license": "8589",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "85889",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NY",
"license": "8589",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "8589",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01584803",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.